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Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women

Received: 7 February 2020     Accepted: 25 February 2020     Published: 17 March 2020
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Abstract

Background: Emotional instability represents a common psychological impairment experienced by newly delivered women, susceptible to impact mothers’ affective involvement and hence mother-infant bonding. It may occur as early as during the first two weeks of early postpartum, manifesting firstly with the baby blues also known as postpartum or maternity blues, and secondly with postpartum depression or psychosis. Mother-infant bonding as defined in this study refers to the emotional attachment that normally exist between a mother and her newly born infant. Factors susceptible to impact mother-infant bonding may be maternal, environmental, neonatal, or a combination of all, with possible repercussions on the neonate’s neurological and psycho-affective development. Objective: We aimed to identify and assess neonatal determinants of mothers’ affective involvement few days after delivery in Cameroonian women. Method: A case-control study was carried out over a period of four months in 2015, in two teaching hospitals of Yaoundé, Cameroon among 321 newly delivered women of which 107 had been diagnosed with emotional instability (the cases), and 214 emotionally stable women (the controls). Results: Neonatal factors associated with mothers’ emotional swings also known as the baby blues were babies presenting health problems (OR=4.33; p<0.001), mothers’ difficulties in taking care of the baby (OR=7.65; p<0.001), having given birth to a baby of female sex (OR=1.66; p=0.033). Conclusion: Emotional instability and mood swings causing affective impairments in mothers few days after delivery may be associated with a number of neonatal factors which account for its onset. There exists a susceptibility to the alteration of mother-infant bonding which can resound on neonatal neurological and psycho-affective development. This may be prevented by optimal preparation for maternity including baby care practices, perinatal counselling, mothers’ assistance, and encouraged breastfeeding.

Published in American Journal of Pediatrics (Volume 6, Issue 2)
DOI 10.11648/j.ajp.20200602.21
Page(s) 125-128
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Mother-infant Bonding, Emotional Instability, Postpartum, Cameroon

References
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[2] World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. WHO 2018.
[3] Ainsworth MDS: Infant behaviour correlates to maternal attachment, in the competent infant: Research and Commentary. Edited by Stone LJ, Smith HT, Murphey LB. New York, Basic Books. 1974.
[4] Jakin I, Maciejewska M, Fabian Daielewska A, Korabiusz K, Wawrykow A, Stecko M. Emotional disorders in the perinatal period. J Educ Health Sport. 2018; 8: 983-989.
[5] Rezaie-Keikhaie K, Arbabshastan ME, Rafiemanesh H, Amirshahi M, Mogharabi S, Sarjou AA. Prevalence of the Maternity Blues in the Postpartum Period. J Obstet Gynecol Neoatal Nurs. 2020. https://doi.org/10.1016/j.jogn.2020.01.001.
[6] B. Figueiro, R. Costa, A. Pacheco: Mother-to-Infant Emotional Involvement at Birth. Matern Child Health J. 2009; 13: 539-549.
[7] Zanardo V, Volpe F, de Luca F, Giliberti L, Giustardi A, Parotto M et al. Maternity blues: A risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale. J Matern-Fetal Neonatal Med. 2019; 25: 1-7.
[8] Shi, P., Ren, H., Li, H., & Dai, Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Research. 2018; 261: 298-306. https://doi.org/10.1016/j.psychres.
[9] Adewuya AO. Prevalence and risk factors of maternity blues in western Nigerian women. Am J OstetGynaecol. 2005; 193 (4): 1522-5.
[10] Mac Farlane JA, Smith DM, Garrow DH: The relationship between mother and neonate. In S. Kitzinger & JA Davis (Eds). The place of birth. New York, NY: Oxford University Press. 1978.
[11] Robson KS, & Moss H: Patterns and determinants of maternal attachment. Journal of Pediatrics. 1970; 77: 976-985.
[12] Nagata et al. Maternity blues and attachment to children in mothers of full term normal infants. Acta Psychol Scand. 2000; 101 (3): 209-217.
[13] Alexandre FC, Paolo RM. Maternity blues: Prevalence and risk factors. Sp J Psychol. 2008; 2 (11): 593-599.
[14] Fatoye FO, Adeyemi AB, Oladimeji BY. Postpartum depression following normal vaginal delivery among Nigerian women. Psychol Rep. 2004; 94: 1276-1278.
[15] K. Mbaïlara et al. Le baby blues: caracterisation clinique et influence des variables psycho-social. L’encephale. 2005; 31: 331-6.
[16] Thalassinos et al. Anxiety and depressive disorders in the postpartum period in pregnant females. J. Gynecol. Obstet. Biol. Reprod. 1993; 22 (1): 101-106.
[17] Zilboorg G. The dynamic of schizophrenia reactions related to pregnancy and childbirth. Am J Psychiatry. 1929; 85 (20): 733-741.
[18] Fiala1 A, Svancara J, Klanova J, Kasparek T. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study BMC Psychiatry. 2017; 17: 104.
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    Georges Pius Kamsu Moyo, Raïssa Monayong Mendomo, Sonia Zebaze, Laura Kuate Makowa, Christiale Batibonack, et al. (2020). Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women. American Journal of Pediatrics, 6(2), 125-128. https://doi.org/10.11648/j.ajp.20200602.21

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    ACS Style

    Georges Pius Kamsu Moyo; Raïssa Monayong Mendomo; Sonia Zebaze; Laura Kuate Makowa; Christiale Batibonack, et al. Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women. Am. J. Pediatr. 2020, 6(2), 125-128. doi: 10.11648/j.ajp.20200602.21

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    AMA Style

    Georges Pius Kamsu Moyo, Raïssa Monayong Mendomo, Sonia Zebaze, Laura Kuate Makowa, Christiale Batibonack, et al. Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women. Am J Pediatr. 2020;6(2):125-128. doi: 10.11648/j.ajp.20200602.21

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  • @article{10.11648/j.ajp.20200602.21,
      author = {Georges Pius Kamsu Moyo and Raïssa Monayong Mendomo and Sonia Zebaze and Laura Kuate Makowa and Christiale Batibonack and Audrey Thérese Mbang},
      title = {Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {2},
      pages = {125-128},
      doi = {10.11648/j.ajp.20200602.21},
      url = {https://doi.org/10.11648/j.ajp.20200602.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.21},
      abstract = {Background: Emotional instability represents a common psychological impairment experienced by newly delivered women, susceptible to impact mothers’ affective involvement and hence mother-infant bonding. It may occur as early as during the first two weeks of early postpartum, manifesting firstly with the baby blues also known as postpartum or maternity blues, and secondly with postpartum depression or psychosis. Mother-infant bonding as defined in this study refers to the emotional attachment that normally exist between a mother and her newly born infant. Factors susceptible to impact mother-infant bonding may be maternal, environmental, neonatal, or a combination of all, with possible repercussions on the neonate’s neurological and psycho-affective development. Objective: We aimed to identify and assess neonatal determinants of mothers’ affective involvement few days after delivery in Cameroonian women. Method: A case-control study was carried out over a period of four months in 2015, in two teaching hospitals of Yaoundé, Cameroon among 321 newly delivered women of which 107 had been diagnosed with emotional instability (the cases), and 214 emotionally stable women (the controls). Results: Neonatal factors associated with mothers’ emotional swings also known as the baby blues were babies presenting health problems (OR=4.33; p<0.001), mothers’ difficulties in taking care of the baby (OR=7.65; p<0.001), having given birth to a baby of female sex (OR=1.66; p=0.033). Conclusion: Emotional instability and mood swings causing affective impairments in mothers few days after delivery may be associated with a number of neonatal factors which account for its onset. There exists a susceptibility to the alteration of mother-infant bonding which can resound on neonatal neurological and psycho-affective development. This may be prevented by optimal preparation for maternity including baby care practices, perinatal counselling, mothers’ assistance, and encouraged breastfeeding.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women
    AU  - Georges Pius Kamsu Moyo
    AU  - Raïssa Monayong Mendomo
    AU  - Sonia Zebaze
    AU  - Laura Kuate Makowa
    AU  - Christiale Batibonack
    AU  - Audrey Thérese Mbang
    Y1  - 2020/03/17
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200602.21
    DO  - 10.11648/j.ajp.20200602.21
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 125
    EP  - 128
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200602.21
    AB  - Background: Emotional instability represents a common psychological impairment experienced by newly delivered women, susceptible to impact mothers’ affective involvement and hence mother-infant bonding. It may occur as early as during the first two weeks of early postpartum, manifesting firstly with the baby blues also known as postpartum or maternity blues, and secondly with postpartum depression or psychosis. Mother-infant bonding as defined in this study refers to the emotional attachment that normally exist between a mother and her newly born infant. Factors susceptible to impact mother-infant bonding may be maternal, environmental, neonatal, or a combination of all, with possible repercussions on the neonate’s neurological and psycho-affective development. Objective: We aimed to identify and assess neonatal determinants of mothers’ affective involvement few days after delivery in Cameroonian women. Method: A case-control study was carried out over a period of four months in 2015, in two teaching hospitals of Yaoundé, Cameroon among 321 newly delivered women of which 107 had been diagnosed with emotional instability (the cases), and 214 emotionally stable women (the controls). Results: Neonatal factors associated with mothers’ emotional swings also known as the baby blues were babies presenting health problems (OR=4.33; p<0.001), mothers’ difficulties in taking care of the baby (OR=7.65; p<0.001), having given birth to a baby of female sex (OR=1.66; p=0.033). Conclusion: Emotional instability and mood swings causing affective impairments in mothers few days after delivery may be associated with a number of neonatal factors which account for its onset. There exists a susceptibility to the alteration of mother-infant bonding which can resound on neonatal neurological and psycho-affective development. This may be prevented by optimal preparation for maternity including baby care practices, perinatal counselling, mothers’ assistance, and encouraged breastfeeding.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

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